Double Daniels, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1000228 Issued in TX

Legal business name

DOUBLE DANIELS, LLC

Practice address

9888 Bissonnet St
Suite 150I
Houston, TX 77036-8247

Phone

(713) 774-5400

Fax

(713) 774-5401

NPI assigned

Mar 7, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Olusola Elliott

Title

President / Ceo

Phone

(713) 774-5400

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• DOUBLE DANIELS AMBULANCE SERVICE Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1255572004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9888 BISSONNET ST",
            "address_2": "SUITE 150I",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368247",
            "telephone_number": "713-774-5400",
            "fax_number": "713-774-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9888 BISSONNET ST",
            "address_2": "SUITE 150I",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368247",
            "telephone_number": "713-774-5400",
            "fax_number": "713-774-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUBLE DANIELS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-07",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "OLUSOLA",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "713-774-5400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2016040",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF STATE HEALTH SERVICES",
            "identifier": "1000228",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOUBLE DANIELS AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Nicole Dotter, ANP-C
• Joseph Anthony Dottino
• Morgen Doty Hool, D.O.
• Nellie Doty, MT-BC
• Samantha Michelle Doty
• Charles William Doubleday, MD
• Harold James Doucet, PHARMD
• Anne H Dougherty, M.D.
• Carlin Marguerite Dougherty, LPC-A
• Katherine Anne Dougherty, PTA

• Land Ambulance in Houston, TX
• Providers in Houston, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.